CMS Price Transparency Data

X-ray, hand

Facility: Johnson County Community Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $100
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Johnson County Community Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.12x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $77 (87%)
Insurance Median: $100 (112%)
Cash: $77 (87% of Medicare)
Ins. Median: $100 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $18 - $257 20%
UnitedHealthcare $40 - $342 45%
Cigna $54 - $104 61%
Optima Health $77 - $115 87%
Aetna $80 - $218 90%
Molina Healthcare $80 - $119 90%
Amerigroup $88 - $99 99%
Managed Medicaire $95 - $99 107%
Medicare (plans) $95 - $99 107%
Sentara Health $95 - $116 107%
United Mine Workers Of America $95 - $99 107%
Wellcare $95 - $99 107%
Humana $96 - $101 108%
Devoted Health Plan $100 - $104 112%
Nhc Advantage $100 - $104 112%
Ambetter / Centene $105 - $109 118%
Medcost $114 - $120 128%
First Health Coventry $245 - $256 276%
Seven Corners, Inc. $327 - $342 368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals